Published Date: 2012-07-28 16:04:49
Subject: PRO/AH/EDR> Ebola hemorrhagic fever - Uganda: (KI)
Archive Number: 20120728.1218683
EBOLA HEMORRHAGIC FEVER - UGANDA: (KIBAALE)
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Sat 28 Jul 2012
Source: Associated Press and Fox hews [edited]
Ebola virus breaks out in Uganda, officials say
KAMPALA: The deadly Ebola virus has killed 14 people in western Uganda this month, Ugandan health officials said on Saturday, ending weeks of speculation about the cause of a strange disease that had many people fleeing their homes. The officials and a World Health Organization representative told a news conference in Kampala Saturday [28 Jul 2012] that there is "an outbreak of Ebola" in Uganda. "Laboratory investigations done at the Uganda Virus Research Institute...have confirmed that the strange disease reported in Kibaale is indeed Ebola hemorrhagic fever," the Ugandan government and WHO said in joint statement.
Kibaale is a district in midwestern Uganda, where people in recent weeks have been troubled by a mysterious illness that seemed to have come from nowhere. Ugandan health officials had been stumped as well, and spent weeks conducting laboratory tests that were at first inconclusive. On Friday, Joaquim Saweka, the WHO representative in Uganda, told the Associated Press that investigators were "not so sure" it was Ebola, and a Ugandan health official dismissed the possibility of Ebola as merely a rumor. It appears firm evidence of Ebola was clinched overnight.
Health officials told reporters in Kampala that the 14 dead were among 20 reported with the disease. Two of the infected have beenisolated for examination by researchers and health officials. A clinical officer and, days later, her 4-month-old baby died from the disease caused by the Ebola virus, officials said. Officials urged Ugandans to be calm, saying a national emergency taskforce had been set up to stop the disease from spreading far and wide. There is no cure or vaccine for Ebola, and in Uganda, where in 2000 the disease killed 224 people and left hundreds more traumatized, it resurrects terrible memories.
Ebola, which manifests itself as a hemorrhagic fever, is highly infectious and kills quickly. It was first reported in 1976 in Congo and is named for the river where it was recognised, according to the Centers for Disease Control and Prevention. Scientists don't know the natural reservoir of the virus, but they suspect the first victim in an Ebola outbreak gets infected through contact with an infected animal, such as a monkey.
The virus can be transmitted in several ways, including through direct contact with the blood of an infected person. During communal funerals, for example, when the bereaved come into contact with an Ebola victim, the virus can be contracted, officials said, warning against unnecessary contact with suspected cases of Ebola. In Kibaale, some villagers had started abandoning their homes in recent weeks to escape what they thought was an illness that had something to do with bad luck, because people were quickly falling ill and dying, and there was no immediate explanation, officials said.
Officials said now that they've verified Ebola in the area, they can concentrate on controlling the disease. Ebola patients were being treated at the only major hospital in Kibaale, said Stephen Byaruhanga, the district's health secretary. "Being a strange disease, we were shocked to learn that it was Ebola," Byaruhanga said. "Our only hope is that in the past whenEbola broke out in other parts of Uganda it was controlled." The challenge, he said, was retaining the services of all the nurses and doctors who are being asked to risk their lives in order to look after the sick. Officials also worry that other villagers suffering from other diseases might be afraid to visit the hospital for fear of
catching Ebola, he said.
Michael P. Owen
U.S. Food and Drug Administration
Bellevue, WA USA
[As of Sat 28 Jul 2012 the number of fatalities has increase by one to 14, but the number cases remains the same. Although haemorrhage is not mentioned as a major factor in the disease the causative agent has been identified now as an ebolavirus. It has not yet been established whether this represents a re-emergence of Bundibugyo ebolavirus or another distinct type of ebolavirus (see: (Undiagnosed fatal disease - Uganda: (KI) 20120725.1214822). The precise identification of the virus remains to be determined. At present the outbreak appears to have been limited in extent and remains contained. Further information is awaited. - Mod.CP
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